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General NPI Number Information
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NPI Number | 1396058988
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Entity Type | Organization
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Legal Business Name | KAREN LYNN MALONEY MD LTD
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Dates
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Enumeration Date | 07/23/2010
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 305 N MAIN ST STE 8
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City | GALENA
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State | IL
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Zip | 61036-2350
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Country | US
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Telephone | 630-523-4747
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Fax | 630-584-9333
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Provider Business Mailing Address
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Address Line | 305 N MAIN ST STE 8
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City | GALENA
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State | IL
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Zip | 61036-2350
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Country | US
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Telephone | 630-523-4747
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Fax | 630-584-9333
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAREN LYNN MALONEY
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Credential | MD
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Telephone | 630-443-7223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 036071349
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License Number State | IL
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